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General NPI Number Information
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NPI Number | 1356825574
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Entity Type | Organization
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Legal Business Name | DOCTORS CHOICE MANAGMENT SERVICE INC.
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 09/24/2018
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Provider Practice Location Address
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Address Line | 12750 SW 189TH ST
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City | MIAMI
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State | FL
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Zip | 33177-3724
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Country | US
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Telephone | 786-287-3962
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Fax |
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Provider Business Mailing Address
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Address Line | 12750 SW 189TH ST
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City | MIAMI
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State | FL
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Zip | 33177-3724
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Country | US
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Telephone | 786-287-3962
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ARMANDO SANGUILY
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Credential |
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Telephone | 786-287-3962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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